Provider Demographics
NPI:1790674133
Name:OKANOGAN COUNTY JUVENILE DEPARTMENT
Entity type:Organization
Organization Name:OKANOGAN COUNTY JUVENILE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JUVENILE COURT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:BEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-422-7267
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:OKANOGAN
Mailing Address - State:WA
Mailing Address - Zip Code:98840-0432
Mailing Address - Country:US
Mailing Address - Phone:509-422-7267
Mailing Address - Fax:509-422-7268
Practice Address - Street 1:227 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:OKANOGAN
Practice Address - State:WA
Practice Address - Zip Code:98840
Practice Address - Country:US
Practice Address - Phone:509-422-7260
Practice Address - Fax:506-422-7294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OKANOGAN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-01
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility